Average Medicaid Upper Endoscopy (EGD) Payments in Mcallen, TX: $209.67
Avg. Paid
$209.67
Range
$0.00 – $272.76
Total Claims
4,042
Providers
14
Typical Payment Range
Typical Medicaid Upper Endoscopy (EGD) payments fall between $76.12 and $225.09 per claim (median: $127.97). The top 10% of payments exceed $381.16.
Based on per-provider averages across all Medicaid claims in this category.
Upper endoscopy examines the lining of the esophagus, stomach, and first part of the small intestine using a thin, flexible tube with a camera.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Upper Endoscopy (EGD) in Mcallen, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jose Rodriguez
110 E Savannah Ave Bldg C101 |
$20.69 | 13 | 13 |
|
Mcallen Surgicenter, Llc
4211 North Jackson Road |
$47.14 | 14 | 13 |
|
Matthew Martinez
533 Pecan Blvd |
$0.00 | 17 | 14 |
|
Michael Joel Martinez
533 Pecan Blvd |
$23.62 | 25 | 15 |
|
Columbia Rio Grande Healthcare, L.P.
101 E Ridge Rd |
$210.84 | 26 | 25 |
|
Valeska Balderas
801 E Nolana Ave |
$34.59 | 26 | 26 |
|
Juan J Castano
533 Pecan Blvd |
$80.67 | 26 | 26 |
|
Diego R Camacho
416 Lindberg Ave |
$203.13 | 44 | 44 |
|
Theodore G Pettle
1801 S 5Th St Ste 114 |
$37.89 | 104 | 100 |
|
Juan Ignacio Sanchez
1100 E Dove Ave Ste 200 |
$63.85 | 122 | 121 |
|
Endoscopy Center At Ridge Plaza Lp
1200 E Savannah Ave |
$250.61 | 132 | 132 |
|
Fatih Ozcelebi
1900 S Jackson Rd Ste 11 |
$60.77 | 324 | 316 |
|
Ralph Alhalel
1200 E Ridge Rd |
$28.09 | 410 | 390 |
|
Manuel Adolfo Reinoso
1400 E Ridge Rd |
$272.76 | 2,759 | 2,727 |
What to Expect: Upper Endoscopy (EGD)
An upper endoscopy takes 15-30 minutes. You'll be sedated. A thin flexible tube with a camera is passed through your mouth into your esophagus, stomach, and duodenum. Biopsies may be taken. You'll need someone to drive you home afterward. Most people can eat a few hours after the procedure. Mild throat soreness is common for a day or two.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 43239 | EGD w/biopsy upper GI | $253.86 | 5,956,836 | 9,455 |
| 43235 | EGD diagnostic upper GI | $254.50 | 202,728 | 958 |
| 43248 | EGD w/dilation guide wire | $140.00 | 59,963 | 186 |
| 43249 | EGD w/balloon dilation | $350.47 | 27,932 | 155 |
| 43251 | EGD w/snare removal | $247.77 | 8,994 | 30 |
| 43255 | EGD w/control bleeding | $475.08 | 7,407 | 9 |
| 43246 | EGD w/PEG tube placement | $137.82 | 3,019 | 30 |
| 43237 | EGD w/endoscopic us | $308.70 | 2,887 | 33 |
| 43250 | EGD w/tumor removal | $258.39 | 2,380 | 11 |
| 43244 | EGD w/band ligation | $253.62 | 1,697 | 25 |
| 43236 | EGD w/submucosal injection | $37.02 | 1,037 | 6 |
| 43245 | EGD w/dilation stricture | $91.88 | 1,020 | 10 |
| 43247 | EGD w/foreign body removal | $93.65 | 915 | 11 |
| 43252 | EGD w/optical endomicroscopy | $166.89 | 722 | 10 |
| 43254 | EGD w/endo mucosal resection | $164.97 | 472 | 2 |
| 43242 | EGD w/us guided inj/asp | $234.58 | 258 | 9 |
| 43253 | EGD w/injection sclerosis | $179.99 | 161 | 4 |
| 43238 | EGD w/us guided needle bx | $618.60 | 13 | 1 |
| 43241 | EGD w/tube/catheter | $91.14 | 13 | 1 |
| 43240 | EGD w/drainage pseudocyst | — | — | — |
| 43243 | EGD w/injection varices | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Upper Endoscopy (EGD) cost in Mcallen, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Upper Endoscopy (EGD) in Mcallen, TX is $209.67 per claim, based on 4,042 claims from 14 providers. Typical payments fall between $76.12 and $225.09. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Upper Endoscopy (EGD) in Mcallen, TX?
There are 14 Medicaid providers offering Upper Endoscopy (EGD) related services in Mcallen, TX according to public payment data.
What is the price range for Upper Endoscopy (EGD) in Mcallen, TX?
Medicaid reimbursement for Upper Endoscopy (EGD) in Mcallen, TX ranges from $0.00 to $272.76 per claim, with an average of $209.67. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Upper Endoscopy (EGD) in Other Cities
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